Ultrasound Guided Injections

Here at Oakwood Physiotherapy we offer some highly specialised physiotherapy treatments, we have trained in the use of diagnostic ultrasound to help to diagnose muscle, tendon, ligament and joint problems. Diagnostic ultrasound technology has improved significantly over the past 15 years and is an effective imaging treatment for sports injuries.

steroid injection
injection hand

Here is a list of common complaints that can be effectively treated with injection therapy.

  • Shoulder
  • Impingement / bursitis – pain on flexion and abduction
  • Adhesive Capsulitis / frozen shoulder
  • Acromioclavicular joint sprain
  • Elbow
  • Tennis elbow (lateral epicondylitis pain)
  • Golfer’s elbow (medial epicondylitis)
  • Hand and Wrist
  • Osteoarthritis of the joints of the hand
  • Trigger finger
  • Carpal Tunnel Syndrome
  • De Quervain’s Tenosynovitis
  • Hip
  • Trochanteric bursitis – lateral hip pain
  • Knee
  • Osteoarthritis knee joint
  • Ankle and Foot
  • Ankle and subtalar joints
  • 1st MTPJ of big toe (big toe joint)
  • Plantar faciitis

Technological advancement means that ultrasound is now considered to be superior to MRI scans for visualising and diagnosing certain tendon, ligament and muscle complaints. These include the Achilles, patella and rotator cuff (shoulder) tendons and the tendons involved in tennis elbow and golfer’s elbow. Accurate diagnosis is key to implementing the most effective treatment regime for your recovery and diagnostic ultrasound can provide an effective adjunct in this process.

Steroid Injection

Injection therapy is an extremely effective treatment as part of a physiotherapy programme for conditions such as frozen shoulder, tennis elbow or joint osteoarthritis or it can also be used as a stand alone treatment for conditions such as trigger finger or De Quervains Tenosynovitis (wrist tendon pain).

Steroid injections provide an effective anti-inflammatory and pain relieving treatment directly to the joint or soft tissues causing pain. Clinical specialist physiotherapists carry out the injections using ultrasound guidance to ensure the accuracy of the treatment. Normally, only one injection is required to gain sufficient pain relief and restore normal range of movement.

For more information on Local Steroid Injections click here to download our brochure.

Hyaluronic Acid Injections

Hyaluronic acid injections are normally used for the treatment of osteoarthritis by reducing pain and improving the function of our joints. Research has shown hyaluronic acid injections reduce cartilage erosion and periarticular fibrosis and improve normal movement patterns, e.g. walking/running gait. Hyaluronic acid injections are licensed for use in any joint in the body (except the spine). Patients who are active particularly favor these injections as they work to nourish and lubricate joints mimicking the body’s natural synovial fluid, which generally becomes depleted and less viscous with age. From one course you can expect relief for 9-12 months. Ostenil (hyaluronic acid) is widely used in Sports Medicine, and is used by most UK premiership Football clubs, Rugby clubs, Cricket clubs and the British Olympic Association.

The injections can be used on a regular basis if required as they have no known side effects, and they are not known to be detrimental to the body’s tissues in any way. Because of its level of safety, hyaluronic acid is classed as a ‘medical device’ rather than a drug. For optimal affect, chronically swollen joints can be injected first with steroid to reduce inflammation and then injected with hyaluronic acid around 4 weeks later, reducing the need for repeated steroid injections. Complete Physio clinical specialist physiotherapists have worked with hyaluronic acid injections for many years and are thus able to give expert advice as to the usefulness for any particular patient presentation. All hyaluronic acid injections are delivered with image guidance to maximise their effectiveness.

 

To see more information you can download the Hyaluronic Acid Injection leaflet here.